KATHRYN R ELLIS (M.D.) – Family Medicine Physician, NPI 1942288295
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,722 INTERNAL MEDICINE in MA
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Provider Addresses for KATHRYN R ELLIS (M.D.)
730, Main Street, Clicquot, Millis, Norfolk County, Massachusetts, 02054, United States
1A
MILLIS, MA 020541612
Phone: (508) 376-2515
Fax: (508) 376-9932
Type: Mailing
171 MAIN ST STE 203B
ASHLAND, MA 017211187
Phone: (508) 881-3029
Fax: (508) 881-1752
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040517000105 | I | Internal Medicine | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 561 | 380 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 532 | 336 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 281 | 281 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 135 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 161 | 159 | $0 |
Insurance plans in this area (ZIP 02054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| - | MA | |
| Internal Medicine | MA |
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